Republic of the Philippines

Department of Education
Region X- Northern Mindanao
Division of Cagayan De Oro City
Fr. William Masterson Ave., Upper Balulang, Cagayan de Oro City
__________________________________________________________________________________
TEACHER’S CLEARANCE

I have the honor to inform that I have satisfactorily accounted for money and property
responsibilities for which I was responsible in this school and that all reports required of my work were
submitted on the dates shown below:
Date Signature of
Forms Received In-Charge Remarks
1 SF-1 (School Register) MT-

2 SF-2 (Daily Attendance Report of Learners) MT-

3 SF-3 (Books Issued & Returned) Marvin Neri

4 SF-5 (Report on Promotion & Level of Proficiency) MT-

5 SF-6 (Summarized Report on Promotion & Level of Proficiency) MT-

6 SF-9 (Report Card) MT-

7 SF-10 (Learner’s Permanent Record) MT-

8 Classroom Inventory Marvin Neri

9 LDM 1 & 2 Portfolio

10 SLMs Distribution List Marvin Neri

11 IPCRF c/o Ms. Pandita

13 Classroom Key Turn-over Marvin Neri

Very truly yours,

Signature over Printed Name (Teacher)

Designation: ________________________

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
This clearance is valid until June 2, 2020. For inquiries, pls contact me thru this mobile# ________________. My permanent
address is located at __________________________________________________________.

Certified correct:
_MARVIN JOSE D. NERI_ MARITES O. LAGAMON
School Property Custodian Teacher’s Club President

Noted:

MELBA S. OMANDAM
School Principal